Teri Diane George, BCBA, LBA
Behavior Analyst in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1164072658
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1164072658
- Entity type
- Individual (NPI-1)
- Name
- Teri Diane George
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2019
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133001492 | VA | Yes |
Other names
- Teri Diane Clemens (Former Name)
Practice location
1820 Castleton CtVirginia Beach, VA 23454-5765
Phone 757-778-3895 · Fax 888-356-3082
Mailing address
1820 Castleton CtVirginia Beach, VA 23454-5765
Phone 757-778-3895
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